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General NPI Number Information
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NPI Number | 1245726447
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Entity Type | Individual
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Provider Name | JENNIFER RENEE SCHAFER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 7 BIA ROUTE 140
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City | PINEHILL
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State | NM
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Zip | 87357-0240
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Country | US
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Telephone | 505-775-3271
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Fax | 505-775-3633
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Provider Business Mailing Address
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Address Line | 81 CONEJO DR 873
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City | RAMAH
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State | NM
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Zip | 87321
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Country | US
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Telephone | 240-256-0158
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 74299
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License Number State | NM
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